Lilly is a 22-year-old Russian au pair. She has been working in Switzerland for 8 months. She speaks only very broken German. She is currently eleven weeks pregnant. She presents herself to a gynaecologist at the women's clinic and asks for an abortion. She does not have a partner, she does not want to lose her position as au pair. The doctor learns from her medical records that this would be Lilly's third abortion in the last 8 months.
This puts the doctor in an uncertain situation. Doesn't she know how to use contraception? Was she raped? Lilly insists on terminating the pregnancy. An medical ethics meeting is convened with the whole medical, nursing and midwifery team. The question put to the room is: What to do?